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HomeMy Public PortalAbout5030 CLOVERLY AVE_Building__ r 76A638A CE#'8035 61 APPLICATION FOR BUILDING PER T COUNTY OF LOS ANGELES BUILDING /o-� DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DMSION LOCALITY �?. JOHN A LAMBIE, COUNTY ENGINEER NEAREST WILLIAM A JENSEN SUP T OF BUILDING CROSS ST DISTRICT N GR TYPE R BY FOR APPLICANT TO FILL IN CONST BUILDING L_ / !, /tel/ STATISTICALCLP(ypI-FICATION WERMAP ADDRESSCLASS NO DWELL UNITS BK^ (� / _3 LOT NO BLOCK WATER ,A NOT REQUIRED RECEIVED CERTIFICATE TRACT 9 MAP HIGHWAY Q NFBLLDGS NO (CIRCLE) ST TE MAJOR SECON ,LOCAL SIZE OF LOT Q x f,SI NOO W ON LOT USE ZONE SPECIAL USE OF CONDITIONS EXISTING BLDG TEL OWNER &114egNO r BUILDING YARD HWY STREET NAME SETBACK WIDTH EXIST ADDRESS ��� C GOG�EQ� �CJ� FRONT 0 7" ARCHITECT OR TEL P L T� ENGINEER NO " SIDE 0 P L ADDRESS TEL , INSPECTION RRC AG CONTRACTOR NO I � y �A � n ADDRESS DESCRIPTION OF WORK y�► %'��' �� �11-14 h � Z NEW ADE AD "I ALTER REPAIR DEMOLISH �� SQ ' NO OF NO OF IZE STORIES FAMII,41ESUSE � ` LIP STRUCTURE ���� �O d ' STRUCTURE SI NATURE OF APPLICANT I VALUATION$ fir_ t 0_0l � APPROVALS ATE INSPECTOR,S�/SIGNATURE FEE $ FEE $ M. 0-0 FORMS LOCATION FORMS MATERIALS FRAME FIRE STOPS 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION BRACING BOLTS ` AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY FURNACE LOCATION WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS VENT DUCTS �f p n eA2 J .. BUILDING CONSTRUCTION I CERTIFY THAT IN DOING THE WORK 'LATH=INT -!'� �i'�ffe� 5 r AUTHORIZED HEREBY I WILL NOT EMPLOY ANY PERSON IN VIOLA IIA TION OF THE LABOR CODE OF THE STATE OF CALIFORNIA RELAT ING TO WORKMEN S PMPENS ATION INSUR C; LATH EXT SIGNATURE OF L HOUSE NUMBER COR- - PERMITTEE RECT AND POSTED f ADDRESS FINAL CLYDE N DIRLAM PRINCIPAL ST URAL ENGINEER PLAN CHECK VALIDATION CK. M o CASH PERM VALIDATION c� M o CASH 7 2 8 2 JAN 19 1 $7 1 2.0 0 3 4 �� DEPARTMENT OF BUILDING_AND S ��' ji f 119,1 & uiLDING LICATION FOR PERMIT } COUNTY OF LO5 JWGELESWM. d. FOX. CHIEF ENGINEER d 1 r Y FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY BUILDING P Q � �L y DI®TRIyCT�NO PLANCK NO PERMIT NO � DDRKIS LOCALITY/ iP� /— �� RECEIVED SY DATE OAFA/P{P,L�, �y DOATE IBBUED NEAREST ROBE ST t+ Sir- �s }� /� v /�_ OWNER JC RS, U � ,eMAIL A •4/1 ADDREIBS �I �/�� ..p��� / /7-� �f ADDRESS �7 �J Ni �V Plf / LOCALITY ��/I]��(�/� �� J �y ,p �/ NEAREST TELrQ CROSS ST CITY �L.'-111 0 5 ('J 77 NO 2.1 FIRE NO OF TYPE GROUP,— Eo ARCHITECT OR J ' P e ZONE PLANS �F ENGINEERLOGNo AlADDRESS ! ♦ / SETBACK LINE 2-D r?-A Al i� APPROVED J DATECONTRACTOR NO USE ' E APPROVED ADDRESS ZONE BY DATE LEGAL �j �/� CORMCTIONS DESCRIPTION LOT NO A BLOCK I TRACT /'3<l;,_,* SIZE OF LOT R i 4O NOW ON LOT USE OF NO OF -NO OF EXISTI G B G tea. FAMILI[B ` ROOMS DESCRIPTION OF WORK �D 2 S-� 60W! Jai r 6 0-r NEW ALTERATION ADDITION REPAIR MOVING DEMOLBE) FTISH i _T = SIZE IJ G ROOMS � STORIES��j Al, r MC ttr'N A A. WALL ROOF -5 / COVERING u I�� 0 I COVERING USE OF NEW /��/ , J [iUtLDING �[ij�°/ fT .7' = /3 fz 7 U a 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS ' APPROVALS, APPLICATION AND STATE THAT THE ABOVE IS CORRECT INSPECTOR DATE AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCEFORMS,MA S FLOCATION AND STATE LAWS REGULATING BUIL/DING CONST UCTION FORMS.MATERIALS JJ FRAME FIRESTOPS,SIGNATURE OF BRACING,BOLTSPERMITTE LATH, INT. v AUTHORIZED AMT- LATH, EXT. /e 76A63BA-3 2-..z $ �1P'� P C ®f�/,��i PLASTER,INT. / �h f VV�j FEE PLASTER.EXT VALUATION jt / ® FEE �� FINAL ��/ -?j aAe COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 0602210005 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS TR 13329 LT 47 SQ FT STORIES TYPE 5030 CLOVERLY AV STRUCTURE 25 VN TEMP CA 917803812 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LA ROSA 8590-019-005 THOMAS PAGE 596 GRID JS LOCALITY TEMPLE CITY C TENANT EXIST BLDG USE RESID USE ZONE R-1 ISSUED ON PROCESSED BY EXPIRES ON EXIST OCC GRP 02/21/06 JK 02/16/07 OWNER TEL NO BLDGS NOW ON LOT VALUATION FINAL DATE FINAL BY CODE TA14ANARA NORMAN E MICHIKO (626) 285-3454- 7,130 5030 CLOVERLY AV t"-(9` TEMP 917803812 FEES PAID DESCRIPTION OF WORK TEAR OFF AND REROOF W/30 YR COMPOSITION SHINGLES FRONT HOUSE FEE DESCRIPTION QUANTITY UOM AMOUNT ONLY APPLICANT TEL NO SAME AS OWNER - AA BLDG PERMIT ISSUANCE 27 75 AC STRONG MOTION RESID 7130 00 VAL 0 71 SPECIAL CONDITIONS D2 PERMIT W/O EN-HC 7130 00 VAL 183 00 TOTAL FEES 211 46 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE SAME AS OWNER - LIC NO LOCATION AND SETBACKS SOILS ENGINEER APPROVAL ARCHITECT OR ENGINEER TEL NO FOUNDATION TRENCH FORMS LIC NO SLAB/UNDER FLOOR RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP UNDhRFLOOR INSULATION 144H269 3 01 FLOOR SHEATHING NO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS NO 21 ROOF SHEATHING �J?1 �J1D SCHOOL WITHIN HAZARDOUS SHEAR PANELS ` AIR QUALITY 1000 FEET MATERIALS NO NO NO FRAME INSPECTION REQUIRED TOTAL SETBACK FROM EXIST FIRE SPRINKLER HANGERS _ SET BACK YARD HWY PROP LINE WIDTH FRONT PL- INSULATION/WEATHER STRIP SIDE PL- INTERIOR LATH DRYWALL EXTERIOR LATH RATED FLOOR/CEIL ASSEM RATBD WALL ASSEMBLIES RATED SHAFTS OPENINGS T-BAR CEILINGS LOT DRAINAGE REPORT ID DPR261 ROUTE TO BS0508 COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 BL 0508 1205100067 PHONE (626) 285-0488 EXT LEGAL ID NO OF CONST BUILDING ADDRESS ITR 13329 LT 47 SQ FT STORIES TYPE 5030 CLOVERLY AV I (STRUCTURE V-B TEMP CA 917803812 ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET LA ROSA 18590-019-005 I THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY, Cl ITENANT JEXIST BLDG USE RESID USE ZONE R-1 JISSUED ON PROCESSED BY I 1EXIST OCC GRP 105/10/12 SR OWNER TEL NO IBLDGS NOW ON LOT VALUATION IFINAL DATE FIVAL BY CODE ITAIANAHA NORMAN E,MICHIKO - I 9,750 1 15030 CLOVERLY AV II TEMP 917803812 1 FEES PAID I�R-P I F WORK 1 I I (BATHROOM REMODEL I I IFEE DESCRIPTION QUANTITY UOM AMOUNT I 1 (APPLICANT TEL NO I 1 1 IHINOKI RON (562) 941-9713- SAA BLDG PERMIT ISSUANCE 27 80 1 115061 MIDCREST DR IAB STATE GREEN BLDG FEE 9750 00 VAL 1 00 ISPECIAL CONDITIONS 1WHITTIER, CA 90604 IAC STRONG MOTION RESID 9750 00 VAL 1 00 I 1B2 PERMIT W/ENERGY 9750 00 VAL 238 30 1 IFR INV WORK W/O PERMIT 342 20 DOL 342 20 1 1 (CONTRACTOR TEL NO I TOTAL FEES 610 30 1APPROVALS DATE INSPECTOR SIGNATURE 1 IR H CONSTRUCTION (310) 941-9713- 1 1 1 115061 E MIDCREST DR LIC NO 1 (LOCATION AND SETBACKS 1 1 IWHITTIER CA 90604 506872-B 1 I I (SOILS ENGINEER APPROVAL 1 I I I I I I 1ARCHITECT OR ENGINEER TEL NO (FOUNDATION/TRENCH FORMS I I I 1 LIC NO 1 (SLAB/UNDER FLOOR I II I I ( 1-1 I I I IRAISED FLOOR FRAMING 1 1 IMAP NO SEWER MAP BOOK PAGE FIRE ZONE Cr"P I 1UNDFRFLOOR INSULATION I I I 1144H269 3 001 1 I 1 I I IFLOOP SHEATHING 1 1 1 INO OF FAMILIES DWELLING UNITS APT/GOND STAT CLASS I 1 1 1 I 0 NO 21 1 (ROOF SHEATHING I I I I I I 1-1 I I SCHOOL WITHIN HAZARDOUS I ISHEAR PANELS I I I 1AIR QUALITY 1000 FEET MATERIALS I I I I I NO NO NO IFRAME INSPECTION I I I I I I I I I I I (FIRE SPRINKLER HANGERS I I I I I I 11 I I I (INSULATION/WEATHER STRIPI I I I I (INTERIOR LATH/DRYWALL I �I 1 I 1EXTERIOR LATH 1 1 I I I I I I 1 1 (RATED FLOOR/CEIL ASSEM 1 1 1 I I I I I I I I (RATED WALL ASSEMBLIES 1 1 1 I I I__ I I I I I IRATED SHAFTS/OPENINGS 1 1 1 I I I I I I I I IT-BAR CEILINGS 1 1 1 II* ADDITIONAL DATA ON FILE I I I I 1 1 ILOT DRAINAGE I I I IREPORT ID DPR261 ROUTE TO BS0508 I I I I I I I �a I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 BUILDING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS ALTERATION/REPAIR BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLF CITY CA 91780 BL 0508 1303190044 PHONE (626) 285-0488 EXT LEGAL ID - NO OF CONST _ BUILDING ADDRESS JTR 13329 LT 4' _ SQ FT STORIES TYPE 5030 CLOVERLY AV _ 1STRUCTURE V-B 1 TEMP CA 917803812 ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LA ROSA 18590-019-005 THOMAS PAGE 596 GRID J5 LOCALITY TEMPLE CITY, Cl 1TENANT 1EXIST BLDG USE RESID USE ZONE R-1 11SSUED ON PROCESSED BY 1 (EXIST OCC GRP - 103/19/13 - SR TMAOWNER TEL NO iBLDGS NOW ON LOT VALUATION iF2 �ATE� FIY CODE TANAHA NORMAN E,MICHIKO (626) 602-4291- 7 000 /]fr►Jr�l� 7 15030 CLOVERLY AV 1TEMP 917803612 _ I FEES PAID 1LTESCRI T ON OF WORK 1BATHROOM REMODEL REPLACE TYPICAL WALL ON THE SHOWER BY GLASS FEE DESCRIPTION QUANTITY UOM AMOUNT 1WALL & DOOR APPLICANT TEL NO I 1 1ABREGO, REMBERTO (310) 350-4478- JAA BLDG PERMIT ISSUANCE 27 80 1 1705 W 134TH ST JAB STATE GREEN BLDG FEE 7000 00 VAL 1 00 SPECIAL CONDITIONS _ IGARDENA CA 92047 JAC STRONG MOTION RESID 7000 00 VAL 0 70 1 JB2 PERMIT W/ENERGY 7000 00 VAL 182 80 1 TOTAL FEES 212 30 1 CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE 1HI TEC _ (310) 350-4478- 11705 W 134TH STREET LIC NO 1LOCATION AND SETBACKS 1 1 1GARDENA CA 92047 955817 1 1 I 1SOILS ENGINEER APPROVAL - 1ARCHITECT OR ENGINEER TEL NO FOUDDATION/TRENCH FORMS 1 LIC NO SLAB/UNDER FLOOR 1 RAISED FLOOR FRAMING MAP NO SEWER MAP BOOK PAGE FIRE ZONE CMP J- ��� b"'y=r l'� I UNDFRFLOOR INSULATION 1144H269 3 001 _ - r 1 1 I +� �• �- f1FLOOR SHEATHING 1NO OF FAMILIES DKELLING UNITS APT/GOND STAT CLASS 1 1 r 1 0 NO 21 L J 1ROOFrSHEATHING 1 1 1 1 SCHOOL WITHIN HAZARDOUS 1 ' 1SHEAF, PANELS 1 1 1 1AIR QUALITY 1000 FEET MATERIALS 1 NO NO NO 1FRAME INSPECTION 1 _ I 1FIRE `SPRINKLER HANGERS 1 (INSULATION/WEATHER STRIP 1 1 11NTERIOR LATH/DRYWALL - EXTERIOR LATH ' RATED FLOOR/CEIL ASSEM 1RATED WALL ASSEMBLIES I I I I I I 1 y 1RATED SHAFTS/OPENINGS 1T-13AR CEILINGS LOT DRAINAGE 1 REPORT ID DPR261 ROUTE TO BSO508 1